Faith Mary Jenkins, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9153 Issued in NC

Practice address

801 Meadowood St
Greensboro, NC 27409-2838

Phone

(336) 285-5068

NPI assigned

Apr 10, 2014

Last updated

Sep 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Faith Mary Olsen Former name

Medicare fee-for-service enrollment

Enrolled in TX, SD2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omaha Tribe of NebraskaGroup PAC ID 7315467560, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omaha Tribe of Nebraska

  dba Carl T Curtis Health Ed Center Dental

  • Dental Clinic/Center
  • Macy, NE
  • NPI 1871977918

  TX

  Medicare reassignment Care Compare group NPD
• Key Rehabilitation, Inc

  • Physical Therapist
  • Elk Point, SD
  • NPI 1548126980
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1073932745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W 4TH ST UNIT 314",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012583",
            "telephone_number": "336-529-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWOOD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092838",
            "telephone_number": "336-285-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "FAITH",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAITH",
            "last_name": "OLSEN",
            "middle_name": "MARY",
            "prefix": "MISS",
            "credential": "MSOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olugbemiga Ebenezer Jegede, M.D
• Mark R Jellous, OT
• Michelle Jenco, M.A.
• Earl David Jenkins III, M.A., M.B.A.
• Erica Jenkins
• Jeffrey David Jenkins, MD
• John Edward Jenkins, M.D.
• Kynzee Jenkins
• Laura A. Jenkins, MS, CCC-SLP
• Paisley Jenkins, LCMHC

• Occupational Therapist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.